registry overview - aaos · 1/16/2019 · certification deliverables: 5.1 participant final...

Shoulder & Elbow RegistryImproving Orthopaedic Care Through Data

Registry Overview

January 16, 2019

1


Introductions

2


Presenters

Kristina Finney, MPH

Senior Manager, Registry

Dena Weitzman, OD

Analytics Lead, Registries

Maria Gomes

Registry Support Specialist

Frosiana Gjerazi

Registry Engagement Associate

3


Registry Program Overview

4


Quality Vision

5

end-to-end continuous quality

improvement

“If you can’t measure it, you can’t improve it” ~ Drucker

• component of a larger quality

vision

• provide data to inform AAOS

guidelines and test performance

measures

• provide feedback to providers to

continuously improve their

practice and healthcare outcomes

• allow AAOS to define what quality

means in a value-based system

• reduce the reporting burdens on

physicians

• help inform gaps in knowledge or

areas for further education

Registries


At the Core of Academy Strategy

Registry Effort Goals

✓ Collect unique clinical information

demonstrating real-world practice

✓ Enable performance measurement by

physicians for physicians

✓ Facilitate national registry-driven

quality improvement programs

✓ Support novel scientific research

Gap Analysis

Awareness

Quality & Performance Improvement

Peer-reviewedResearch & Guidelines

6

Registry

Data


Registry Program Highlights

• The American Joint Replacement Registry (AJRR) was re-integrated into AAOS

• The Registry Oversight Committee (ROC) was created

• Additional staff hired and physician leadership groups created

• Shoulder & Elbow Registry developed

• Strategy for building a scalable and sustainable Registry Program developed

• Revamp of data specifications and problem-solving for improved data capture within AJRR including release of revised specification

7

June 2017

Investment Approved

October 2017

AJRR

Re-integration

October 2018

Shoulder & Elbow Registry Launch

December 2018

Musculoskeletal Tumor Registry

Launch


AAOS Family of Registries

8

American Joint Replacement

Registry (AJRR)

Registry Oversight

Committee

Shoulder & Elbow Registry (SER)

AAOS Board of Directors

Musculoskeletal Tumor (MsT) Registry Pilot

Future Registry Future Registry

Shoulder Arthroplasty

Rotator Cuff Repair (2019)

Elbow Arthroplasty (2019)

Hip Arthroplasty

Knee ArthroplastyOrthopaedic Oncology


Data Insights for Orthopaedics

9

Detail Surgeon Activities and Case Numbers Provide Distribution of Procedures Track Patient Reported Outcomes

Characterize US Implant Usage Patterns Characterize Causes of Early RevisionShow Top Reasons for TJA Procedures


Data Collection

10


Shoulder Arthroplasty Module Data Elements

Post-op/Comorbidities

• Comorbidities (ICD-10)

• Height + Weight/Body Mass Index

• Length of Stay

• American Society of Anesthesiologists Score

• Operative and Post-operative Complications

Patient-reported Outcomes

• PROMIS-10 Global

• VR-12

• SANE

• ASES

Procedural

Patient

• Name (Last, First)

• Date of Birth

• Social Security Number

• Diagnosis (ICD-10)

• Gender

• Race/Ethnicity

• Payer Status

Hospital/Practice

• Name and Address

Surgeon

• Name (National Provider Identifier)

Procedure

• Type (ICD-10)

• Date of Surgery

• Laterality

• Implants

First module around Shoulder

Arthroplasty launched October 24, 2018

Future modules around Rotator Cuff

Repair and Elbow Arthroplasty in 2019

11


Patient-Reported Outcomes

12

Supported PROMs for SER

Functional

PROMIS-10 Global

VR-12

Anatomical

SANE

ASES

• We collect only

these four

• Sites are not

required to submit

but at least one is

recommended

• Submission can be

done manually or

automatically with

our online kiosk


Data Specification & Dictionary

13


• Calculate national performance benchmarks

• Access to on-demand practice specific quality reports and dashboards to

compare locally, regionally, and nationally

• Track and monitor outcomes with longitudinal patient information

• Reduce complications and revision rates across sites

• Support quality initiatives and participation in payer incentivized QI

• Improve data to support orthopaedic care and best practices

• Allow for re-use of data towards programs like MIPS, MOC, CME, TJC

Re-use of Registry Data

14

Certifying Bodies

Quality Reporting

Device Surveillance

ReimbursementQuality

Measurement


Onboarding

15


STAGE 1 STAGE 2 STAGE 3 STAGE 4 STAGE 5

SIX STAGES TO SUCCESSFUL SUBMISSION

STAGE 6

Deliverables:

1.1 Participant Profile

Updates

1.2 Onboarding

Resource Assignment

1.3 Welcome

Communication

1.4 Registry Program

& Participant Kick-Off

1.5 Participant

Onboarding

Workbook

Deliverables:

2.1 Participant

Account Setup

• Key Contacts

• Surgeon

Information

• SFTP/HTTPS

Deliverables:

3.1 Participant

Documentation

Review

3.2 Participant

Extract File

Requirements

Preparation- Source System

Identification /

Mapping

- Q&A

3.3 Participant

builds extract file

3.4 Participant

validates extract

file against source

system

3.5 Participant

Automates File

Transfer

Deliverables:

4.1 Test File Call /

Questions

Response

4.2 Test File

Round 1

4.3 Test File

Round 2

4.4 Test File Final

Certification

Deliverables:

5.1 Participant

Final Production

Set-Up

5.2 Live Data

Submission [FIRST

FILE]

5.3 Live Data

Submission

Confirmation

Deliverables:

6.1 Subscriber

Training &

Access –

Authorized User

6.2 Subscriber

Training &

Access – PRO

Platform

6.3 Support

Process &

Marketing

Resources

Review

Welcome

& Kick-Off

AccountSetup

Build &

ValidateExtract

TestFile

LiveData

Transition

to

Ongoing Support

16


Data Submission Options

17


• You can monitor data submission uploads and errors by logging into

RegistryInsights™

• On Homepage: Latest file Upload

- Indicates when the last file was uploaded

- Number of cases submitted

- Number of cases with issues

- Option to correct & resubmit

• Most participants submit monthly but we encourage submitting at least every 90 days

• We can work with your site’s technology team or vendor to set-up automated submissions

18

Submission Best Practices

https://login.microsoftonline.com/registryapps.onmicrosoft.com/oauth2/v2.0/authorize?p=b2c_1_sign-up-in&client_id=e4f816ed-43f3-41f9-98f4-abcc3e278745&redirect_uri=https://ajrr.registryapps.net/&response_mode=form_post&response_type=id_token&scope=openid&state=OpenIdConnect.AuthenticationProperties%3dp8HmZcbhE-GbxupnwgIKIqQ27Ju6ywu5vaVo2xqYMRysaWRMSjiZTsvfaGgyIl8EtN7BwTto1j4IgJYYsOt0wzmNPSxccVrmWkhSrQCSdJAKiOEGxZp2nMySvC__glqPemw7WDE44PQ4h6oUtOwqqQ6P0e2dD98m_1WZuMTW1I3fVR1gfm8bBYNvEzPJpkYlMO6YT5sYdOuZ6e21aiOuRQ&x-client-SKU=ID_NET&x-client-ver=1.0.40306.1554


Getting Started

19


Contracting

• Master Participation Agreement

• Simple 2-page appendix for current AJRR participants

• Business Associate/Data Usage Agreement

• Security Assessment

20


• Single institution, 1-year licensing fee $3,500

• $750 1x configuration fee

• Discounts are available

• Includes

✓ Unlimited access to RegistryInsightsTM

dashboards and reports

✓ PRO Platform – can administer surveys

✓ Ongoing support

✓ Inclusion in User Group Network (Unet)

Participation Fee Structure

21

Shoulder & Elbow RegistryImproving Orthopaedic Care Through Data 22


Thank you!

Kristina Finney ([email protected])

Dena Weitzman ([email protected])

Maria Gomes ([email protected])

Frosiana Gjerazi ([email protected])

www.aaos.org/registries | [email protected] 23

NEXT

WEBINAR>

“RegistryInsights Surgeon

Dashboards 101”

Date: 2/13/2019

Time: Noon CST

mailto:[email protected]






Commonly Asked QuestionsData Submission

• What is the format of data to be uploaded?

• How often should a site submit?

• Are all data elements required?

• If a site is utilizing a 3rd party to collect data, is it necessary to collect the same data twice?

Participation and Fees

• How much does it cost to participate?

• Are fees for each Registry separate?

PROMS

• What Patient-Reported Outcomes are collected? Are all mandatory?

• At what intervals are PROMS collected?

• Can a site choose which PROM to use?

• How are PROMs submitted?

24

registry overview - aaos · 1/16/2019 · certification deliverables: 5.1 participant final...

Documents